Body Composition Assessment in Spinal Cord Injury
Recruitment status was Recruiting
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Purpose
The purpose of this research is to evaluate different methods of measuring body composition (amount of fat, muscle, bone, and water in your body) and to determine relationships between body composition and other medical problems associated with spinal cord injury (SCI).
| Condition | Intervention |
|---|---|
|
Diabetes Mellitus Body Composition Tetraplegia Paraplegia Spinal Cord Injury |
Other: Body composition |
| Study Type: | Observational |
| Study Design: | Time Perspective: Prospective |
| Official Title: | Body Composition Assessment in Spinal Cord Injury |
- To compare different methods of body composition analyses with the gold standard 4-compartment monitoring to determine accuracy and validity of those alternative, but less labor-intensive techniques. [ Time Frame: 3 years ] [ Designated as safety issue: No ]
- To assess the relationship between % body fat, visceral fat, and markers of the metabolic syndrome, including Plasminogen Activator Inhibitor-1 (PAI-1), Thrombin-Activatable Fibrinolysis Inhibitor (TAFI), and high-sensitivity C-Reactive Protein (hsCRP) [ Time Frame: 3 years ] [ Designated as safety issue: No ]
- To develop body composition regression equations that can be easily utilized in a clinical setting to estimate risk for the metabolic syndrome in persons with SCI. [ Time Frame: 3 years ] [ Designated as safety issue: No ]
- To cross-validate the derived regression equations against the gold standard 4-compartment model in an independent group of persons with SCI. [ Time Frame: 3 years ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 170 |
| Study Start Date: | August 2009 |
| Estimated Study Completion Date: | October 2012 |
| Estimated Primary Completion Date: | September 2012 (Final data collection date for primary outcome measure) |
| Groups/Cohorts | Assigned Interventions |
|---|---|
|
Body Composition
120 subjects will help create the regression models. The remaining 50 subjects will be recruited to determine if the equations work for the population.
|
Other: Body composition
Day 1 testing will incorporate underwater weighing, Bod Pod, DXA, BIA and anthropometrics. Day 2 will include RMR, MRI, and testing at GCRC
Other Names:
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Detailed Description:
A preliminary investigation in our laboratory has demonstrated the advantage of using 4-compartment modeling to assess body composition in SCI adults. In comparing body composition analyses techniques in 20 individuals with SCI, we found Total Error to be 8.0% with Dual X-ray Absorptiometry, 8.4% with hydrodensitometry, 11.5% with bioelectrical impedance analysis, and 21.8% with standard skinfold equations when compared to 4-compartment modeling, the currently accepted gold standard for body composition assessment. To date there is no gold standard for the determination of body composition in SCI individuals.
Eligibility| Ages Eligible for Study: | 18 Years to 65 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
Individuals with a spinal cord injury of C5-L2 motor complete (AIS A&B only).
Inclusion Criteria:
- Criteria for participation will include men and women within the age range of 18-65 years old with C5-L2 Motor-Complete (ASIA A&B)
- SCI of duration greater than 12 months to ensure a homogenous sample.
Exclusion Criteria:
- Persons with uncompensated hypothyroidism, and/or renal disease will be excluded from the study.
- Additionally, individuals with uncontrolled autonomic dysreflexia, recent (within 3 months) deep vein thrombosis
- Pressure ulcers > Grade II will be excluded.
Contacts and Locations| Contact: Joshua Miller, MS | 804-675-6200 | Joshua.Miller@va.gov |
| United States, Virginia | |
| Hunter Holmes McGuire Spinal Cord Injury Research Lab | Recruiting |
| Richmond, Virginia, United States, 23249 | |
| Contact: Joshua Miller, MS 804-675-6200 Joshua.Miller@va.gov | |
| Principal Investigator: | David R Gater, MD, PhD | Hunter Holmes McGuire VAMC |
More Information
No publications provided
| Responsible Party: | David R Gater MD, Ph D, Hunter Holmes McGuire VA |
| ClinicalTrials.gov Identifier: | NCT00957762 History of Changes |
| Other Study ID Numbers: | B6232I, HM12090 |
| Study First Received: | August 5, 2009 |
| Last Updated: | August 11, 2009 |
| Health Authority: | United States: Federal Government |
Keywords provided by Hunter Holmes Mcguire Veteran Affairs Medical Center:
|
Body Composition Glucose Tolerance Insulin Sensitivity Metabolic Syndrome |
Additional relevant MeSH terms:
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Quadriplegia Diabetes Mellitus Paraplegia Spinal Cord Injuries Glucose Metabolism Disorders Metabolic Diseases Endocrine System Diseases Paralysis |
Neurologic Manifestations Nervous System Diseases Signs and Symptoms Spinal Cord Diseases Central Nervous System Diseases Trauma, Nervous System Wounds and Injuries |
ClinicalTrials.gov processed this record on June 18, 2013